# BROOKLYN MEDICAL PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972316404
- **Authorized official:** MS. NEESHA N MOHAMMED-LOPEZ (OPERATION MANAGER)
- **Authorized official phone:** (973) 685-5988

## Contact information

- **Practice address:** 185 KINGSLAND ST, NUTLEY, NJ 07110-1119
- **Practice address phone:** (855) 699-7246
- **Mailing address:** PO BOX 30, NUTLEY, NJ 07110-0030
- **Mailing address phone:** (718) 208-4707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 01/29/2025
- **Last updated:** 06/19/2025